[Federal Register Volume 71, Number 184 (Friday, September 22, 2006)]
[Notices]
[Pages 55479-55480]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-8073]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-282, CMS-R-240, CMS-10204 and CMS 10209]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS) is publishing the following summary of proposed 
collections for public comment. Interested persons are invited to send 
comments regarding this burden estimate or any other aspect of this 
collection of information, including any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare Health 
Plan Appeals and Grievance Data Collection and Reporting Requirements, 
Data Disclosure Requirements Sec.  422.111; Use: Medicare Advantage 
(MA) organizations and demonstrations are required to disclose 
information pertaining to the number of disputes, and their disposition 
in the aggregate. Organizations provide appeals and grievance 
information to individuals eligible to elect an MA organization, or 
persons or entities making the request on behalf of the individuals who 
request this information. MA eligible individuals will use this 
information to help them make informed decisions about their 
organization's performance in the area of appeals and grievances. Form 
Number: CMS-R-0282 (OMB<greek-i>: 0938-0778); Frequency: Recordkeeping, 
Third Party Disclosure and Reporting--Semi-annually; Affected Public: 
Business or other for-profits and Not-for-profit institutions; Number 
of Respondents: 434; Total Annual Responses: 868; Total Annual Hours: 
876.

[[Page 55480]]

    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Provider-based 
Status Regulations in 42 CFR 413.24 and 413.65; Use: Section 1833(t) of 
the Social Security Act (of the Act), as amended by section 4523 of the 
Balanced Budget Act of 1997 (the BBA) requires the Secretary to 
establish a prospective payment system (PPS) for hospital outpatient 
services. Successful implementation of an outpatient PPS requires that 
CMS distinguish facilities or organizations that function as 
departments of hospitals from those that are freestanding, so that CMS 
can determine which services should be paid under the PPS. Regulations 
found at 42 CFR 413.65(b)( 3) and (c) require the submission of the 
information CMS needs to make the determination of whether an 
organization functions as a department of a hospital or functions as a 
freestanding facility. In addition, section 1866(b)(2) of the Act 
authorizes hospitals and other providers to impose deductible and 
coinsurance charges for facility services, but does not allow such 
charges by facilities or organizations which are not provider-based. 
Implementation of this provision requires that CMS have information 
from the required reports, so it can determine which facilities are 
provider-based. Form Number: CMS-R-240 (OMB<greek-i>: 0938-0798); 
Frequency: Recordkeeping--On occasion; Affected Public: Business or 
other for-profit, Not-for-profit institutions; Number of Respondents: 
750; Total Annual Responses: 872; Total Annual Hours: 26,063.
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Evaluation of the Medical Adult Day-Care 
Services Demonstration, Phase I; Use: This request seeks Office of 
Management and Budget's (OMB) approval of (1) collection of enrollment 
data by demonstration sites and (2) face-to-face interviews with 
Medicare beneficiaries (not to exceed 45 minutes in length). These data 
collection and interviews are to be completed during Phase I of the 
Evaluation of the Medical Adult Day-Care Services Demonstration 
(Contract Number 500-00-0038/5).
    Section 703 of the Medicare Prescription Drug, Improvement and 
Modernization Act of 2003 (MMA) (Pub. L. 108-173) authorizes a three-
year demonstration to assess the clinical and cost-effectiveness of 
providing medical adult day-care services as a substitute for a portion 
of home health services that would otherwise be provided in the 
beneficiary's home. Under this authority, the Centers for Medicare & 
Medicaid Services (CMS), through its Office of Research, Development 
and Information (ORDI), is conducting the Medical Adult Day-Care 
Services Demonstration. Five Medicare certified home health agencies 
were selected by CMS through a competitive process to participate in 
the demonstration. These five demonstration sites are Aurora Visiting 
Nurse Association (Milwaukee, Wisconsin), Doctor's Care Home Health 
(McAllen, Texas), Landmark Home Health Care Services (Allison Park, 
Pennsylvania), Metropolitan Jewish Health System (Brooklyn, New York) 
and Neighborly Care Network (St. Petersburg, Florida). Form Number: 
CMS-10204 (OMB<greek-i>: 0938-NEW); Frequency: Reporting--One-time; 
Affected Public: Individuals and Households, Business or other for-
profit and Not-for-profit institutions; Number of Respondents: 55; 
Total Annual Responses: 110; Total Annual Hours: 297.5.
    4. Type of Information Collection Request: New collection; Title of 
Information Collection: Chronic Care Improvement Program (CCIP) and 
Medicare Advantage Quality Improvement Project (QIP); Use: 42 CFR 
422.152 requires each Medicare Advantage Organization (MAOs) (other 
than Medicare Advantage (MA) private fee for service and MSA plans) 
that offers one or more MA plan to have an ongoing quality assessment 
and performance improvement program. Information collected in the QIP 
and CCIP Reporting Templates will be an integral resource for 
oversight, monitoring compliance and auditing activities necessary to 
ensure high quality provision of general health services and chronic 
care services to Medicare beneficiaries. Form Number: CMS-10209 
(OMB<greek-i>: 0938-New); Frequency: Recordkeeping, and Reporting--
Annually; Affected Public: Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 426; Total Annual 
Responses: 852; Total Annual Hours: 38,050.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, 
or e-mail your request, including your address, phone number, OMB 
number, and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#df8fbeafbaada8b0adb49fbcb2acf1b7b7acf1b8b0a9"><span class="__cf_email__" data-cfemail="f8a899889d8a8f978a93b89b958bd690908bd69f978e">[email protected]</span></a>, or call 
the Reports Clearance Office on (410) 786-1326.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received at the address below, 
no later than 5 p.m. on November 21, 2006. CMS, Office of Strategic 
Operations and Regulatory Affairs, Division of Regulations 
Development--C, Attention: Bonnie L Harkless, Room C4-26-05, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: September 15, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 06-8073 Filed 9-21-06; 8:45 am]
BILLING CODE 4120-01-P


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